Evidence map›Paper›PMID 37066806›Full record

ArticleJournal of the American Heart Association2023

Association of Chronic Kidney Disease With Atrial Fibrillation in the General Adult Population: A Nationwide Population-Based Study.

Seon-Mi Kim, Yujin Jeong, Yae Lim Kim, Minjung Kang, Eunjeong Kang, Hyunjin Ryu, Yunmi Kim, Seung Seok Han, Curie Ahn, Kook-Hwan Oh

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
10.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

  1. Pooled it
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  10. Signals within Complexity: Diabetes Genetic Heterogeneity and Clinical Outcomes in CKD.Clinical journal of the American Society of Nephrology : CJASN · 2026
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  13. Discovery ofDiagnostics (Basel, Switzerland) · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Seon-Mi KimDepartment of Internal Medicine Seoul National University Hospital Seoul Republic of Korea.ORCID 0000-0003-0536-0577
Yujin JeongDepartment of Biostatistics Korea University College of Medicine Seoul Republic of Korea.ORCID 0000-0001-7340-1049
Yae Lim KimDepartment of Biostatistics Korea University College of Medicine Seoul Republic of Korea.ORCID 0000-0002-4316-9696
Minjung KangDepartment of Internal Medicine Seoul National University Hospital Seoul Republic of Korea.ORCID 0000-0003-3960-7005
Eunjeong KangDepartment of Internal Medicine Ewha Womans University College of Medicine, Ewha Womans University Seoul Hospital Seoul Republic of Korea.ORCID 0000-0002-2191-2784
Hyunjin RyuDepartment of Internal Medicine Seoul National University Hospital Seoul Republic of Korea.
Yunmi KimDepartment of Internal Medicine Inje University Busan Paik Hospital Busan Republic of Korea.ORCID 0000-0001-9281-9926
Seung Seok HanDepartment of Internal Medicine Seoul National University Hospital Seoul Republic of Korea.ORCID 0000-0003-0137-5261
Curie AhnDepartment of Internal Medicine, National Medical Center Seoul Republic of Korea.ORCID 0000-0001-7033-1102
Kook-Hwan OhDepartment of Internal Medicine Seoul National University Hospital Seoul Republic of Korea.ORCID 0000-0001-9525-2179
Seoul National University Hospital · KRKorea University · KREwha Womans University · KRNational Medical Center · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background The incidences of atrial fibrillation (AF) and chronic kidney disease (CKD) are increasing, and AF is prevalent in patients with CKD. However, few studies have investigated the incidence or association of AF in a large CKD population from a longitudinal study. Methods and Results From a nationwide cohort, a total of 4 827 987 Korean individuals without prior AF, who received biennial health checkups provided by the National Health Insurance Service between 2009 and 2012 in Korea, were analyzed. Incidence of AF was ascertained through the end of 2018. During a median follow-up of 8.1 years, the annual incidence rate of AF was 1.17 per 1000 person-years among subjects without CKD, 1.55 for stage 1 CKD, 1.86 for stage 2 CKD, 2.1 for stage 3 CKD, and 4.33 for stage 4 CKD. In Fine-Gray regression models, CKD was associated with an increased risk of AF; the adjusted hazard ratios and 95% CIs of AF occurrence were 1.77 (1.69-1.85), 1.85 (1.80-1.91), 1.99 (1.95-2.04), and 4.04 (3.07-5.33) in individuals with CKD stages 1, 2, 3, and 4, respectively, compared with non-CKD. The association between CKD and incident AF remained statistically significant after adjustment for multiple confounding factors and was consistent across subgroups stratified by sex and age. Conclusions CKD is associated with an increased incidence of AF. Even mild CKD is associated with incident AF, and there was a stepwise increase in the risk of incident AF with a decrease in renal function.

Indexed as

Atrial FibrillationRenal Insufficiency, ChronicAdultHumansIncidenceLongitudinal StudiesProportional Hazards ModelsRisk Factorsatrial fibrillationchronic kidney diseaseincidencenationwide cohort

Identifiers

PMID37066806
PMCPMC10227274
OpenAlexW4366083456

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.